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报告1例中药联合手术治疗卵巢良性Brenner瘤,连续治疗1个月,痊愈。女,49岁,下腹部包块2个月。无明显诱因出现间断性阴道不规则流血,2个月前触及右下腹部约鸡蛋黄大小包块高,生长速度快,活动欠佳,5d前出现大量白色无味稀薄状阴道分泌物,尿频6d,未用药。外阴正常,阴道畅,宫颈肥大,光滑,子宫前倾,常大,表面光滑,活动可,左附件区可触及鹅卵大囊性肿物,右附件区厚,可触及鹅卵大不整形肿物,界欠清,触痛(+)。一般理化检查无明显异常;肿瘤标记物:CA12-5:22.29U/mL;盆腔CT:盆腔右侧实性占位;左附件区囊性占位;宫颈饱满;双腹股沟区多发小淋巴结。符合卵巢良性Brenner瘤诊断标准。行全子宫双附件切除术,术后可进食后给予中药汤剂:党参15g,黄芪20g,三棱、莪术、柴胡、乌药、丝瓜络、路路通、刘寄奴、牡丹皮、赤芍各15g,白芍20g,炙甘草10g,延胡索25g,浙贝母、贯众各20g,川楝子、连翘各15g,荔枝核、鱼腥草各25g,马齿苋15g,夏枯草20g,乳香、没药各10g,大血藤25g,牡蛎20g,鳖甲10g。水煎200mL,100mL/次,2次/d,连续治疗1个月,无明显异常,出院。随访三个月,状态良好。
Report of 1 case of Chinese medicine combined with surgical treatment of benign ovarian benign Brenner, continuous treatment for 1 month, recovered. Female, 49 years old, lower abdominal mass 2 months. No obvious incentive intermittent vaginal irregular blood flow, touching the lower right abdomen 2 months ago about the size of egg yolk mass, fast growth, poor activity, a large number of white tasteless thin vaginal secretions 5d, frequent urination 6d, Not medication. Normal vulva, vaginal smooth, cervical hypertrophy, smooth, uterine anteversion, often large, smooth surface, activity can be left annex area can reach large cystic mass goose, right attachment area thick, can reach a large non-deformed goose egg Things, the world owed clear, tenderness (+). General physical and chemical examination showed no obvious abnormalities; Tumor markers: CA12-5: 22.29U / mL; pelvic CT: solid right pelvic mass; left appendage cystic space; full of cervix; In line with benign ovarian benign tumor diagnostic criteria. Line double hysterectomy, postoperative can be given after the Chinese medicine decoction: Codonopsis 15g, Astragalus 20g, Trigeminal, Ezhu, Bupleurum, Chinese medicine, loofah, Lu Lutong, Liu slave, moutan, red Peony root 15g, white peony root 20g, Baked Licorice 10g, corydalis 25g, Fritillaria, Guanzhong each 20g, Toosendan, Forsythia each 15g, litchi core, Houttuynia 25g, purslane 15g, Prunella 20g , Frankincense, myrrh each 10g, 25 d blood vine, oysters 20g, turtle shell 10g. Decoction 200mL, 100mL / time, 2 times / d, continuous treatment for 1 month, no significant abnormalities, discharged. Follow-up of three months, in good condition.